Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, perioperative care pathway which consists of established guidelines intended to improve outcomes in patients who undergo surgical procedures. Studies have shown that successful implementation of an ERAS protocol can reduce postoperative complication rates and health care costs. A formal analysis was performed in order to identify existing barriers to the implementation of an ERAS protocol among Post Anesthesia Care Unit (PACU) nursing staff for patients undergoing gynecologic surgery at the Oregon Health Science University (OHSU) Center for Health and Healing (CHH). Multiple factors were identified, the most prominent were: (1) poor communication; (2) lack of staff and patient education; (3) the absence of an identified ERAS protocol champion; and (4) insufficient receipt of feedback regarding patient outcomes and overall protocol status. These findings offer an opportunity to design and implement interventions to strengthen protocol adherence; improve interdisciplinary communication; and enhance the knowledge base of the PACU nursing staff.